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HomeMy WebLinkAboutBLD2004-00231 • BUILDING PERMIT APPLICSION MLA04-00193 Review Type: l Jefferson County Department of Community Development 621 Sheridan Street Port Townsend, WA 98368 PERMIT#: BLD04-00231 Received Date: 4/9/2004 SITE ADDRESS: 74 GARTEN RD PORT LUDLOW, 98365 OWNER: GE LAND LLC PHONE: 1125 57TH ST E STE D SUMNER WA 98390 G 53AR\8264261 SUBDIVISION: EN-ESTATES Block: Lot: 1 PARCEL NUMBER: 952900001 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: GE LAND LLC PHONE: 1125 57TH ST E SUITE D SUMNER WA 98390 Contractor's License GELANLL966DD Expires 3/4/2006 REPRESENTATIVE: GE LAND LLC PHONE: (253) 826-4261 X 123 THOMAS ANSMAN 1125 57TH STE STE D PROJECT DESCRIPTIOP NEW SFR W/ATTACHED GARAGE AND COVERED PORCH TYPE OF WORK RES SQUARE FOOTAGE: TYPE OF IMP NEW MAIN: 1,258 VALUATION 276,905.00 ADD'L: 1,691 HEAT TYPE: EEE CODE EDITION: 1997 HEAT BASE: HEAT TYPE: OCCUPANCY: R-3 UNHEATED: #OF STORIES: OCCUPANCY: OTHER: CONST TYPE: 5N GARAGE: 400 SHORELINE: CONST TYPE: DECK: 134 SETBACK: BANK HEIGHT: SEWAGE DISPOSAL: ALT WATER SYSTEM: LUDLOW PARCEL TAGS: YES NO BEDROOMS: BATHROOMS: STORMWATER: YES NO AREA Exist: Exist: Wetland Erosion Prop: 4 Prop: 3 Seismic Streams Total: 4 Total: 3 Flood Way Floodplain Routing Date: l ; l F&W Landslide Jul `i` r 1�� Shoreline Aquifer Forest: Commercial Rural Type AmountPaid By: Date: Receipt: AFPRI3VED Permit $1,984.95 KAS 04/09/04 64137 State Building Code $4.50 KAS 04/09/04 64137 APR 2 8 2004 Potable Water Application $52.00 KAS 04/09/04 64137 Jefferson County Planning Total: $2,041.45 & Building Department r (C ` rio . • ---- Jefferson County Department of Community Development i' ,c.an; �'- 621 Sheridan Street,Port Townsend WA 88368[3601370-44550 .! � .:, CJIr ,,, { t PErm : APD5c © Project Description: Buildin t - j.e: Proype: Frame Type: 00 Garage Attached/Detached Addition ,tecl Modular Alteration/Remodel Concrete • Commercial Repair Masonry Multi-family/#of Units Demolition Other: Industrial Other: Bathrooms: Bedrooms: Type of Sewage Disposal: Type of Heat: Choose one: Existing: Existing: Sew- Community System Electrici Oil Proposed: Z.S Proposed: i-! n.'vidual System Woodstove Propane Total: 2,1 5 Total: ‘1. • If not sewer,fill out the following: Heat Pump CS,9nvention -1 Alternative Other Permit# SEP al-000(Y / Water Supply: Private well Two Party Well Public:Name of water system: , t,01114-oz. �I U`t19 Square Footage: II For Office Use Only Main Floor l ZJ 1� 1121% Consistency Review 42.00 2ND Floor 1 IP q ( 14— i ci ill•3 Base fee 1° it -CI s 3rd Floor Plan Check fee Cam-PC.IC4 1OC4 3 Htd Basement State Surcharge fee t4 Unhtd Basement Subtotal 2.031 •ifc Garage/Carport 1 bo z-iG4a-'00 Pot Water Review fee SS• . Decks 911/Rd Approach fee Commercial TOTAL 21 ZZ. 1}-j Industrial Receipt# ' H 3-1 Other I3`�Q .. ( as ec•35 Ch/Chk# 03Total Valuation: Ititet_ 1�-9 1—CM dc> 02-6 11/_96 Initials Or 10 Date 'ff ICI Estimated Cost: I If within 200' of the Shoreline, Distance to Bank or Ordinary High Water Mark ft.Bank Height ft. By signing the application form,the applicant/owner attests that the information provided herein is true and correct to the best of their knowledge. Any material falsehood or any omission of a matenal fact made by the applicant/owner with respect to this application packet may result in this permit being null and void. I further agree to save,inde nifp and hold harmless Jefferson County against all liabilities,judgments,court costs,reasonable attomey's fees and expenses which may in any way accrue against Jefferson County a a result of or in consequ nee of the granting of this permit. I further agree to provi a access and rig of entry to j ferson County and it's employees,representatives or agents for the purpose f applica on review and any required later inspections. Access and right of c perry to the applican s p pe •or, rucrure shall be requested and shall occur during regular business hours. (� Signature: 6 /b Date: Z� CCU 1 OVER ► I-L•HOMT\PLNCNTR\INFOBLDG\FORMS\BLDperrnitApplication 11-8-01 P BUILDING • PERMIT Jefferson County Department of Community Development 621 Sheridan Street, Port Townsend, WA 98368 (360)379-4450 FAX (360)379-4451 PERMIT #: BLD04-00231 SITE ADDRESS: 74 GARTEN RD Rece ved Date 04/9/2004 PORT LUDLOW, 98365 Issue Date 04/28/2004 APPLICANT: GE LAND LLC 1125 57TH ST E STE D PHONE: (253)826-4261 SUMNER WA 98390 SUBDIVISION: GARTEN ESTATES PARCEL NUMBER: 952900001 Block: Lot: 1 Section: 34 Township: 28 N Range: 01 E CONTRACTOR: GE LAND LLC 1125 57TH ST E PHONE: SUITE D SUMNER WA 98390 Contractor's License: GELANLL966DD Expires: 03/04/2006 PROJECT DESCRIPTION: NEW SFR W/ATTACHED GARAGE AND COVERED PORCH REQUIRED INSPECTIONS: xi SETBACKS: OX. S ` D IT UFFER: Je (Xf Footing: O d W Foundation: land, .2.a a1/ Underground Plumbing: k Underground Insulation: L Shear Wall : a &J,2 iK ,fro D r Framing: - GYM o,L -moy� ,DST Plumbing: [ ] Propane Tank/Lines: k1 Insulation: of H L G ikr Sheetrock: OK g Stormwater FIN L pp val: Septic Sytem Final Approval: x' ut f 1 Road Approach Final Approval: [ ] Zoning Final Approval: f;t Final/Occupancy Approval: HEALTH DEPARTMENT AND PUBLIC WORKS APPROVAL REQUIRED PRIOR TO FINAL INSPECTIO THIS PERMIT IS VALID FOR ONE YEAR OR IT MUST BE PROPERLY RENEWED N BUILDING INSPECTION HOT-LINE 379-4455. CALL 24 HOURS IN ADVANCE TO SCHEDULE INSPECTIONS. Office Hours 9:00 a.m. -4:30 p.m. HOT LINE AVAILABLE 24 HOURS A DAY SPECIAL CONDITIONS APPLY -SEE REVERSE SPECIAL CONDITIONS FOROSE $ g LD04-00231 • 1.) The application Development was reviewed b pmeni staff on by the Jefferson Count Sensitive Areas April 14, 2004 for theCounty Department of After an Geographic under the potential presence Community graphic d Information of the ofl Amen n Code (U inspection, the followingoration S Unified Development SARPA initial SUSC a ESAs Systems mapping review pment (UDCs were confirmed to be present on thed an investi 2.) Aquifer Rechargeaquifer recharge area. garive site formations that OArreas in Jefferson subject property. zone of saturation. County are characterized by w percolation of the surface water into the soils and the g permeable Aquifers are porous geological material to yield significant formations that contain sufficient saturated serve as thea source tognificant Aquifers e 3•) Susceptibledrinkingquantities of water to s AquiferRecharge water within most of the rural ort wells and springs.thuomote rqui r oA eas are those portions c Aqu ns 4.) Critical Aquiferwith geologic and hydrologic°f Jefferson County. Aquifer Recharge Areas are defifined as to Seawater truss n Area , a conditions Recharge Protection Seawater Intrusion Aquifer Areas Areas and the following AquResifer Recharge Land (1)All Industrial Land land uses e Uses )All Special Rural Residential Uses requiring a DiscretionaryUses or(2 All Commercialwe min (4)Al,!tible DiscretionaryUses with nonconforming heUses (3)All Rural Use or Conditional Use PermitConditional Use Permit Developments9 uses that Plannedld otherwise (4)AI one unit (6) Unsewered residential devel(5opment with rwrse re per acre. All of theRural require a one unit rand above listedpmensu e gross densitiesppaResidential 5.) Critical A standards of the Jefferson uses shall be subject to the Aquifer RechargeCountyapplicable greater than qualityc degradation.n. Areas may requirelprotectioncd Development protectionThe submitted special Code. Management However, proposal does measuresionalto q Bement measures.s during construction the project additional follow o l a mitigate water thea en Management and facilitypros a shall identified and 6.) The applicant Stormwateris gement Manual for the P design standards si identified the Best 3142 square feet proposing landg to create or add poet Sound B and defined in disturbing2876 Basin. �•) The project shall adhere to the activities, square feet of impervious erosionr and sediment duringBest Management of stor ,and stabilize soil exposed construction,gement Practices and drainage duringBMPs shall address permanent control measuresl t ter l construction, and in the designpeCmanent 8•) A Stormwater systems. and operation to Site Plan has been submitted stormwater of Community Development. fully implement the Once the sub' and approved by the Department ofprovisions of the ject permit hasDepartment a Communityesubmitted plan and contact t issuede the applicant shall planrtent compliance.f Development to Jefferson verifiesA Certificate of arrange a schedule to inspectCounty plan compliance. Occupancy will not be issued the site until clearingNo clearingproperty for verifies necessary. for roadwaysuntil the Departmenttheproject measures have beef for e installation of er or utilities shall occur on the co 9•) Jefferson County determinedplated. temporary sedimentation the State Environmentay that this and erosion 10.) The revised site Policy Act(SEPA) is cafe plan dated April ( EPA categorically exempt from review UDC, and has 27, 2004)pursuant to WAC 197_11_ under Development. been approved byhas been reviewed for800(1)(b)(i)pment. Any Jefferson County Department consistency site plan dated April modifications, chap of under the County 2004 changes, and/or additions to the Community Department of 27, 2 shall be resubmittedstain 11.) This approvalCommunity for review and approval approved is for a single family Development. Pproval b only. Any future isy residence by porch chon codes on this site with attached and ordinancesrepermits and does not are subject to review for congsistenc on futurecovered porch �) Outdoor residential stsry preclude review Y wita a and conditions which ma pplicable fire, safety, health or ge shall be maintained in y be placed sanitary hazard. an orderly manner and shall create no n lot less I 15TaY sed or inoperable vehicles shall best swellings andmsnt ° unlicview of neighboringwith 13.) Not more than two (2) applicable performance develop h screening shall meet all app ale kept, and performance and in keeping rt than one-half acre unless totally screened from storage Unified Develop srights-of-way. Such requirements of inoperable the character ter specific tothe district in which hall meet the req Screening 13 or more unlicensed inop Outdoor storage of thirteen ( ) of or in UDC, the character of the area. those districts where specified as an automobile wrecking vehicles Code(UDC)pSrohibited 6 in rohisaly except) Table 3-1 case,f the shall any vehicles is p va e)yard and allowed a is of UDC Sect'onl4.10.n Sensitive Area yard such junkstorage raor salvage) requirements and stnsed or inoallperable meet the req inoperable vehicles stored in an Environmentallyed as amount of such unlicensedLot coverage is defined(ESA). S driveways,concrete,etc. lot coverage is not to exceed 25°°• 14.) Maximum Minimum south impervious surface is not to exceed35 feet. shall be 20 feet. M line setbacks The building heightRoafit-of-waY ini 15.) setback from Garten 20 fed rig Minimum north and east property 16.) Minimumin height from the property line setback shall be feet. feet(20') or structure. shall be 5 feet. is an integral part of a building Exterior lighting for residential uses shall not exceed twenty 17•) excepting when such lighting finished grade, prevent the light source from fitness of Ground level lighting is encouraged. 1 g) Lighting fixtures shallmoutside e designed ned and hooded to r erty. The source brig eing completion shall not adversely affect the all lighting, ng visible from and after project e boundaries fthe p y family all lighting, during constructionadjoining rights o or spaces shall be provided for the single use iofn surrounding properties n-site parking P rle family Land A minimum of two ( ) Comp 1 20.) 1:5 under the Jeffeson County residence. Hated as RR The lot has been designated 28, 1998• assigned to the lot. Garten Road is Usen Map effectivef74 Aug port Ludlow has been 21.) An address of Garten Road, 14,2003 under a count local access road ( was approved on March 15,2004• A septic permit created r-0014) 22.) through the Garten Estates Subdivision on February 23.) The lot was AFN 465764. 10/29/19 I:\F_BLD_Permit_Buildng.rpt 41 JUN. 21. 'PM 1 :50NM C04 N4. 8393 P. 9/34 '• 40' / 16'-7" t — 6'-31/2" / 15'-11/2" N. .— JIIIIIIIIIIIIL 6050 - ' �" (_),"• \ `, r`/ L a�w.. 12"Shell 04 t_ L I I_.LLL W-LC L LL. LL - 1x6' I Master I I_M. Bath I L ; J D 16•x N LL I.LLL 12'5nNF L I LL LLLL,�—' ' \ I 1 I_L LL Laundry 0 .._LL O 1r\ p V� �3: N , d� 266al—L1 It Bedrm 2 Ifr 10'-6"x it-1o" n 'nJ L v O ~ NM sitting Area iIIiiiiiii'ili sear 12 xB \ \ 6 s gam _ 266 L ME 0 i P.2_ LL L Bedrm 0'4"x 3 � ffj' 11 F L L. I_ N M doL L' 20'-6"x 10'-6., M LLI= in 0 gin ni 305i 11'-6'.x .'-," 3 \ \ Optional 2030PW m 4th Bedroo it ' ry 11'-6"x 10'-6" '-• - • .L - 3050, a Zo '1, --t / -6' / 21'-7" --/ 2ND FLOOR WALLS E C E a V E 0 JUN222004 JEFFERSON COUNTY DEPT.OF COMMUNITY DEVELOPMENT DRAWN B' New Homes, LLC Select New Homes CHECKED B':DW 1125 57th St. E. #D SHEET. PATE:10-21—OD Sumner,WA 98390 Plan 2949 2nd Floor Walls, 16 SCALE:1/0"=1'-0" (253)626 4261 3,4,or 5 BR, 2,5 Bath - Floor Plan or 19 C;\Documents and Scttings\onark.NEWHOMESLLC\My Documents\Drawing4.dwg,6/21/2004 12:48:33 PM,Toby JUN. 21. 2004 1 : 50PMIF NO. 8393 P. 8/34 Note: All exterior window and door 40 / windows prov3050 gde 5.1 sq.R. headers Co be . 16'7" > A'-3 I/2" /— IS'1 1/2" / of Clear area for egress.- 4ttiQ OF#2,typical, / 4x12 F#2 / 4'-10' T-10" B'9" / 5' i.1/2"y�3. 2^-/ en unless noted otherwise \ \ HEA ER 1 _ y 6050� �— \ Ir \ nl iii f 0 � c '? /—s'-1 1/2"4 I m 3'-3 1/24'fy' '0 7,1 co r �` � ` attic aeces5� c j� %11 0�ir� co 31�x 20 a3 n D, , i dA. L _U , 1 _ N. J \ � I M o in 1` 6'-'3'— f nX2'6' 7'-1 1/2" J° t0' 10" i. IItA in o 112 wall ig42" t —.1` t, H M O rNWig ZDI M SOBP EZEE M tii_ wall*42" a668t�-_ —N B N °l „° \ \ .., ...._ _ r� 2450 V-2° '+r _, v v MIS ji/2 10° °' a Fs, �, o n 5�,1 1/2" J38l/:' '6'•1 1/2" 11./ m 15'9" / c R LI H n--i g13 m MOVE WINDOW 4'-3"' V I .. ° IV TOWARDS FRONT OF to _ N0U5E WHEN 3rd CAR c "? •• 0 _ -' GARAGE IS ADDED, n '71i' _ ___ ___ _ ___ci,%),, ..7.r. m _ a 'a IN \ _ 1�� 'L._. •�, / 12'-10 1/2"— X 5'-9"� / /!, 1-- ,i. , - 16'-7 1/2" &4,1 3050 3050 \ \ \ 2030PW T ,� UP 7-4 v 7e--C 5''9"a"-- 4 /—5'-9 1/2' / m a—3' / 7.-3 1/2" / 7' 7'•3 1/2"—/ a 1 j 3050 / 12'-s" / 27•.7• / 40' ^- f L l=POINTLOAD . "--.W---- 1E D grace Panel Schedule: eer UBC Sec.2320.1i.3' 2ND FLOOR WALLS PLAN (See plans pages 5&6 for derails and notes) icip 4 It.Brace Wall Panel,exterior. 7/16'OSB. _ II JUN 2 2 2004 [') TEM 96"Brace wall Panel,Interior;Gyp 1 side. '{48'Brace Wall Panel,Inter-: Gyp 2 sides. r JEFFERSON OMMUNITY COUNTY 1 OSB Brace Wall Panel,1 side OF C DEVELOPMENT DRAWN BY:DW New Homes, LLC Select New Homes M CHECKED BY:DW 1125 57th St.E.#U A IJDATE:10-21-00 Sumner,WA 98390 Plan 2 949 SHEET: 7 SCALE:1/8"�i'•0„ (253)B26 4261 3,4,or 5 BR, 2.5 Bath 2nd Walls FRAMERS of 19 C:1Documents and Settingsltmark.NEWHOMESLLC\My Documents\Drawing4.dwg,6/21/2004 11:34:51 AM,Toby IIAPR-27-2004 TUE 09: 16 AM FAX NO. P. 01 Gal ten 'Estates by New Homes, llc (scale: 1"w40') INFILTRATION TRENCH %/' 9 ►2-000-�001 604)' x 2' DP. MIN. _ O4 - 02 3 I IEFFEOSON COUNTY DCP • f_�3-55;93' ,�_,,.. : Qdad N3DJVD 6 -_. ,,i ,,i • gcwes d .-i• C to ;�, Fi( h� 8d' Oro Ease Lit 4 . —Izu-s ti tm y,; `r JJIp-Y{ �.. 1 // j i.ri � I ///j�'` { , • 1� -T'S- 44 ?314,111s _Qi._" / ,v� r{ M (Nn�� I sro / l f� ' III � ' I w l l I I I t j _ ( I 1 1 / ,,,2 I /UJ IN ( I le m .L. if ' 1 ...1... _ `I i -- Ii 11 11 / l l / / J r � � T�, rn4t 4l � 2 � ' � �i, 4� MN APPROVED ,S SITE PLAN StoRnvuater Require APR� 2 7 2004 � o 0 DEp1.OF Y E .LOPM T SIGNATUR 1:\1r.iflirlg!\i'I.,t i po\fl rlin lsimes 13 1ur,dwt,4/27/2004 S;34:IS AM,Toby 6 4„ PERMIT # RLO 1)Lerllit,... JEFFERSON COUNTY 0 4 3 DEPARTMENT OF COMMUNITY DEVELOPMENT 621 Sheridan Street • Port Townsend •Washington 98368 JEFFERSON COUNTY 0C ,O 360/379-4450 • 360/379-4451 Fax http://www.cojefferson.wa.us/commdevelopment/ STORMWATER SITE PLAN SUBMITTAL TEMPLATE MLA# 04 —\ 5 PROJECT/APPLICANT NAME: a E 0 L C Please answer all of the following questions to the best of your ability. Where the question calls for depiction on a site map, the applicant may choose to either incorporate the elements into the general plot plan for the Master Land Use Application or to submit a separate stormwater site plan map. Project Overview 1. Describe the proposed developed conditions of the site. Indicate position and relative size of proposed improvements on the site map. C.44/3i/2G/GT 4 Siet F,4nev e_.p- s On/ .4 csF O,c Ti✓L �S La r-s .4 G ,4Q7-/,t) lssgrS. Art 17. 7'4 . ' Ai(,C cs cF ire" 4- ,L o r w,e, - " . AOACair/din.b Tt ' I/3 d F" Tri' S/2,4e 17-J c L.o r•. Existing Conditions Summary 2. Describe the existing topography. Indicate contours on the site map. 7'•/�s "44- /51C. / A . 5.rC /+f ct0," 5'4i4 474 f- />�.�,�c c r- Lois W/ .t_ f3� 1-:or Z4 ZJ, 3/ J 3. Describe the existing vegetation. Indicate native vegetation areas on the site map. T}J� fin/r 1e P�-aT Na S rz.c.e 4i ,Z c7 .Lo w Li a 4♦T.s r',e,✓ .e Si�•Q.G SAC SG&d6G.4 /3.G da 4. Describe the existing soils. Indicate soil type on the site map. fj.✓?i2/E nL o,T G�1,S/S TS c, ,4 V/ -• SAt".40 GOAH 5. Describe the existing site hydrology(i.e.,drainage;behavior of water on the site—above, below, and on the ground). Indicate existing stormwater drainage to and from the site on the site map. Depict separate drainage basins on the site map, if applicable,and indicate acreage of each. 7,V,C S/r,Cs 12€A..l•✓ k' P Gv rs .0 _ i flriCiZ /,/- 4:0" 5 714"49/4✓4 tv etT ct'R. STaie.c.. G.J,KT�,e /,J Ti�iC sT.a . 734.Co ,ye CNG u'r.acT D/TGH J'. ND 11/ "/4 tE14 7 Q / 7 41/ . A.✓Y r�/�.a/n/3 !� i c c /3/- P/Lo 7-4-c,r/Ce W/7/4 Si LT SGGL.S .c(N#) C/IA Cx /7 4.V A /21;•'i4G404. (3 AS"/l• 6. Describe any excess levels of noise genes @ 9ragtiviLy: , /),Z. ,O17/Ir vai Ge,�/ T.Qt� +t itdc�IiX F ,deoAfre /Ir?.4C✓,i.✓,y G<irimi4 �!o c./E s /Cd# few-v./4 ST RIVppF -Pt. s/; No,s.c : NA/L 44//i Sows APR 14 2004 stormwater site plan template—rev.10/t/2003 1EFFERS OUN Y 5 DEPT.OF CO T D;VE MIEN SIGNATLRE. 7. Describe significant geographic features and critical areas (i.e., environmentally sensitive areas such as wetlands, streams, steep slopes, etc.)on the site. Indicate location on the site map. i_ or s s 23 Zel z 24 A L.ocA7 g2 ,A✓ cGosr PRaxi,01,17 6f .. - CAT-.a Cr?6 4 r S 5%K .Aa N1. 8. Describe the general vicinity of the site,including adjacent land uses and structures, utilities, roads,and sensitive/critical areas (streams,wetlands, lakes,steep slopes,etc.). .arOjacr,.iT L.,oNO tisa5 Al T-G+Je 5i•v4Lre: F•4PK1z..}' g •S,ia.0f.-vcEr G,a,c r c-,-) iZs, r-.CJ' /r ,o Q eft-c 7- 3 0L04.k1 a,,c,e 4.)P %iirz /-1 JFruwal' , Irwr I oy Permanent Stormwater Control Plan This portion of the Stormwater Site Plan consists of the selection and installation of the appropriate stormwater control BMPs and facilities to remain in place after construction of the project is completed. "Medium" size projects are required to have the totals calculated of all impervious surfaces, pollution-generating impervious surfaces, and pollution-generating pervious surfaces to verify that the thresholds for treatment facilities and flow control facilities are not exceeded. g. Describe the developed site hydrology, as proposed. Indicate whether stormwater will be fully dispersed(i.e., per BMP T5.30 in the Manual) or, if not, what types of stormwater flow control will be utilized for the site or specific threshold discharge areas within the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. r 1rz.. 5e,t-S Agri. vEaCY I'E�2viores 5►Lr s ocle.S w►c,c, 6 rz r^srac.c.eo !Iv At.L G�are.1.1 ►a.S,s.JS 1-0 1'RE VE"vr GOnt ram'NA-1- JC.1 57---/ZEn.."5 1v3ITI-\ P„ .r,t) 1.J.2.rE�. AS Gvrl-L A3 1AJ5nac.tn r, a,./ p it/ ALL /Odwnl SLoerin 4 .E•as wl,ru fAri 4p/KoPAlarit. s,c.r FANG—. 10. If the project requires the use of stormwater treatment facilities, describe the types of stormwater treatment facilities proposed for use on the site. Locate these facilities on the site plan and differentiate proposed facilities from existing facilities. [This is normally for large"projects or projects that involve the potential for dispersion of contaminants.] i 11. Describe the performance goals and standards applicable to the project. o ►hI"r►.vetLe._. Ant 0 Gon/l'C1 ALc.. PASTye,sr'v L..ANv A14D ?'d PQ>s.v'r"a T A n.r) G ON/TA ri+,n/.0 r.Git/ ?-d A N N ,t I/A.E' / S`' S %Ie,z AI.Piel 3 o/Z 4.4$1,/lfCle- S_ 12. Describe the flow control system. '/.-dcc) le•2,-T71:.3' 4, ,c.c_ IS M,nt1v z�1!9 e..>r ►UE• USf' pa____, _c_ s pX..s '--4" Ta veC iuc s/r A"))." r.QOS.Eni dam. W ASA/ OL/TS V,A.; ._,a .._ ,.,. i 4'r • t t 4 stormwater site plan template—rev.1 Q/1@003 . t 6 a 13. Describe'th9 water quality system. t,4-i.a.TYKZ- 1I F7/40 V) p,Cr f...i v LO6.44— 1claTfs/2 015-1-yelcj; 14. Describe the conveyance system analysis and design. , I s 4 /v,a,c- l0. 15. Describe the source of fill material,physical characteristics of fill material, and deposition of excess material. 4,,(...L S/Tr3 {,J r Lt. 14A.Vr ►rAim)SMkrt.-. 17!STU.CCA../e./� ,d A/.t7 M Aa-A".C✓A C. duiaL S7'Ry 4:50-+' /rs.oe.I.L A-X/JTin/CI $if. ._ 16. Proposed methods of placement and compaction consistent with the applicable standards on Appendix Chapter 33 of the Uniform Building Code. Nt 1^//..-r N..L C N S Tc= f.3Ts.6t•C,"'el Sd/e,f 17. Describe the proposed surfacing material. 18. Describe methods for restoration of the site. .1-»az•.� /++i/�.a c.T' r 7 4 - s,T.eE /'-' AZ c-k- Ft1.c..0 A c co,20/,vSL j- 19. An Operation and Maintenance Manual is required for each flow control and treatment facility. [This is normally required for "large"projects only and only those for which facilities are required to control flow or treat:runoff.] If included,list the Manuals here. ✓r � 20. List here and include any special reports or studies conducted to prepare the Stormwater Site Plan. 21. List other necessary permits and approvals as required by other regulatory agencies. If dose permits or approvals include conditions that affect the drainage plan or contain more restrictive drainage-related requirements,describe those conditions or restrictions here. A/^ • stormwater site plan template—rev.10/1/2003 7 CONSTRUCTION STORMWATER POLLUTION PREVENTION PLAN(SWPPP) The Construction SWPPP addresses sediment and erosion control during construction. The BMPs indicated by the applicant in the template that follows must be installed on the ground during all construction phases of the project. The proponent is responsible for preventing sediment and erosion impacts to environmentally sensitive areas and off-site areas. Consult the Construction Stormwater Pollution Prevention (SWPP) Best Management Practices (BMPs) Packet for guidance, particularly with rural residential development. SECTION I—CONSTRUCTION SWPPP NARRATIVE 1. Construction Stormwater Pollution Plan Elements. Describe how each of the Construction SWPPP elements has been or will be addressed. Identify the type and location of BMPs used to satisfy the required element. If an element is not applicable to the proposal,justify in writing. Descriptions of the 12 Elements are found at section 2.5.2 of the Manual(beginning on page 2-15). - 12 Required Elements—Construction SWPPP 1. Mark Clearing Limits. 124-A r- /S "1.412.1Z4,..v 2ISv F-d o,.1s7-,0411 c.r/v-.✓ • 2. Establish Construction Access. G OV.17%e CPdl�J ,Q cc,tSS W i GG d,E F�{�va r�c../S/4 Eta d 4/ f44LA4 $,Tj PLAn/ a /AJ acret'' c0x/5( -T.d.-0 PL.A'/ 41,Z d Ale T T P-/lsO,vac. ►/,IE14 Gt_fc DSIC d, TN>C / X/37., ✓4 gg•447; '7 I4fi,vi••i,r C iv•+/f- c 43 7vd, r 7 �4t/� f/T.� �,ar2 ' - . H�/ otert- 3. Control Flow Rates. _ G d (-�J ,,c.ri 4.). L /SI. "A/Z rCp efY 5 T�.4 f tzzci c•d c,c y� V .,oct iC 15v cs ,"I ' o4<Z GtiL-VI5I T 7,1 ..la - 4. Install Sediment Controls. l,J1LL 13C n/ a t.t_ OdZ444,z St.6 AA10 A2Crti I? c�rr, A1'L€L4S„ 5. Stabilize Soils. I SSt.1TZ50 0 S 1%4 CS.L-/zvr-,c w,c.c. 6A v n/ GaiS Z Co /27/ 3 I S/_ / .r/fL JZIiS7- vF T/1rt S' ,Z a a L.A 7-,ti* 4.-0C/=R CAS _ 6. Protect Slopes. /N,O/c a T 7 dOS e SS o10•'C 't/O 7. Protect Drain Inlets. stormwater site plan template-rev.10/1/2003 8 i PERMIT # RID 12 Required Elements-Construction SWPPP(continued) 8. Stabilize Channels and Outlets. c v- , J4f 0,7 rs 4 AI0 _PQU r/ GT /N S c... /-/A4?' 64/c,J .4.vp J/c T rho j c c /Al r A7",",€ P2 oc. o/vS_ 9. Control Pollutants. T".4.T-.c c..co 6 , //A P J3A i c�s �i a c�c r'�! ,��f o �,..u..../t.E rN,C. 1:2-6 GI d F / S,EOirt r v i q o.�/ //+/Td 5��rt'�,s4,1 10. Control De-Watering(the act of pumping groundwater or stormwater away from an active construction site). if/� —. 11. Maintain Best Management Practices(BMPs). MS, ✓"•QoTC T O€4,al cJyt GO�r/T.eo G_ 00[-G U%ANTS$ %1iC-S �4�yqT . Go..Vc.Gc:'.G SLci.ey 'S 7-� FDA ,G�-/E. �v cT i TS /LTG 12. Manage the Project. sy�yr.Gi•vii�-v�.�.v i G/��G/L /�/LOSid,2/ /1//j4,-.S4/.CiCr o.t/ 041j LY 13 A S r 5 2. Adjacent Areas. a. Description of the adjacent areas that may be affected by site disturbance (e.g., streams, lakes, wetlands, residential areas, roads). S 03o< iw sTi¢Z—e.< C a21ZoCG ,4c.G t' ate./ 1 N•C Dot0."INic.L 5 G.o P O .4 G L G.Q/TAG a.G, '�S A./> ,a G�� j . b. Description of the downstream drainage path leading from the site to the receiving Lody of water(minimum distance of 400 yards). 3. Environmentally Sensitive Areas. a. Description of environmentally sensitive areas that are on or adjacent to the site. c,a.€j- 5- S,TiZI:�ct /tOJ i d L.0T5 Z. 3 / � si1 ZS- d 26 storrnwater site plan template—rev.10/1/2003 9 b. Description of special r uirements for working in or near environmentally sensitive areas. 4. Erosion Problem Areas. Description of potential erosion problems on site in the context of the characteristics of the on-site soils(e.g.,erodibility,settleability,permeability,depth,texture,soil structure). / ``A& 5. Construction Phasing. a. Construction sequence 17 t/o"- Y Fd4G. / , .JOAr'r..J Du1.n rd" . reti co^/5:.c4cc7 /40443 ,LA.. %1 Ac;70C / C(_o a•ci I.a7; Cv17141 A.4.C.__ /''c)S.c-J Ai 4,S44¢1c3' b. Construction phasing(if proposed) f'�'4�' 6. Construction Schedule. Wet season is October 1 through April 30(page 2-21 of the Manual). I. Provide a proposed construction schedule. 5 4 ADM-- .a s 5A. II. Wet Season Construction Activities. a. Proposed wet season construction activities b. Proposed wet season construction activities for environmentally sensitive areas. /.v.37-s c.._ 4 c_c_ AP00e000X/ 341" iN1£'aSs••CnCr dC S4 dS,r,v,C , —..4.$ 4,*)Q Can/. 2Nc.T Actd•Cv� id,Gr %d 7. Financial/Ownership Responsibilities. a. 10entify the property owner responsible for the initiation of bonds and/or other financial securities. �.�•�r b. Describe bonds and/or other evidence of financial responsibility for liability associated with erosion and sedimentation impacts.'/ /..J rc.) /4a.urS 8. Engineering Calculations. Provide Design Calculations on a separate sheet for the following,if applicable. a. Sediment Ponds/Traps. IC// b. Diversions. c. Waterways. N�- d. Runoff/Stormwater Detention Calculations stormwater site plan template—rev.10/1/2003 10 Stormwater Site Plan Changes If the designer wishes to make changes or revisions to the originally approved Stormwater Site Plan, the proposed revisions shall be submitted to DCD prior to construction. The submittal shall include substitute pages that include all proposed changes, revised drawings showing any structural changes,and any other supporting information that explains and supports the reason for the change. Final Corrected Plan Submittal If the project included construction of conveyance systems,treatment facilities,flow control facilities, or structural source control BMPs (not standard on-site stormwater management BMPs),the applicant shall submit a final corrected plan ("as-builts")when the project is completed. These should be engineering drawings (stamped by a licensed civil engineer) that accurately represent the project as constructed. APPLICANT SIGNATURE By si ning the Construction SWPPP worksheet, I as the applicant/owner attest that the information provided herein is true and corr t to the best of knowledge. I also certify that this application is being made with the full nowle ge and consent of all o ers of the a ected p perty. (LANDOWNE OR AUTHORIZ EPRESENTATIVE SIGNATURE) (DAT ) THIS SPACE MAY BE USED FOR ADDITIONAL NOTES, IF NEEDED: stormwater site plan template—rev.10/1/2003 12